Chyvarhas Residential and Nursing Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The registered manager made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Where possible people and their relatives were involved in the assessments process and their opinions captured and taken into account. Relatives said, “The manager came to see us at hospital. It was a positive meeting, reassured me”. Care records from previous care providers were also reviewed as part of the assessment process to ensure people’s support needs were fully understood.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People’s care plans were accurate, informative and had been regularly reviewed. They gave staff enough information to enable them to meet people’s needs and expectations.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

The registered manager and staff team worked well with health partners to ensure people’s needs were met. Records showed people were able to access GP, dentist, opticians and specialist nursing teams when needed.

People told us their support staff would know if they were not feeling well and would make arrangements for professionals to visit. People’s comments included, “My ankle has been sore the past few days. I called them in and told them and they evaluated it. They knew I was unwell and got the GP in to get me medication. I didn’t have to tell them”.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People told us the service supported them to access health care services as needed. They said, “I’m waiting for the optician for new glasses. The home arranged it. I can’t see to read properly. Every 6 weeks there is a chiropodist. You don’t have to ask, it’s done automatically” and “I’ve had an optician and a dentist visit me. The home arranged it”.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People were consistently complimentary of the support provided and commented, “I can’t complain, I get all the attention I need”. Residents’ meetings were held regularly and issues raised were addressed.

The provider had effective staff disciplinary procedures and where issues were identified in relation to individual staff member’s performance these concerns were promptly investigated.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff and managers recognised the importance of respecting people’s decision and choices. Consistently throughout both days of the inspection staff offered choices and sought people’s consent before providing support. People’s care plans included information and guidance for staff on how and when to present information to support people to make effective decisions. Care records demonstrated people’s decisions to decline planned care had been respected and that alternative support was offered later in the day.

Where people lacked the capacity to make specific decisions the service had engaged positively with relatives and professionals to ensure decisions were made in the person’s best interest.